<meta name="robots" content="noindex">
Department of
SOCIAL SERVICES

Community Care Licensing


FACILITY EVALUATION REPORT

Facility Number: 343625662
Report Date: 09/11/2024
Date Signed: 09/11/2024 11:49:01 AM

Document Has Been Signed on 09/11/2024 11:49 AM - It Cannot Be Edited

STATE OF CALIFORNIA - HEALTH AND HUMAN SERVICES AGENCY

FACILITY EVALUATION REPORT		CALIFORNIA DEPARTMENT OF SOCIAL SERVICES
COMMUNITY CARE LICENSING DIVISION
SACRAMENTO CC RO, 9835 GOETHE ROAD, SUITE 100
SACRAMENTO, CA 95827
FACILITY NAME:SHELTON, SIARAFACILITY NUMBER:
343625662
ADMINISTRATOR/
DIRECTOR:		FACILITY TYPE:
810
ADDRESS:TELEPHONE:
CITY:STATE: ZIP CODE:
CAPACITY: 8TOTAL ENROLLED CHILDREN: 8CENSUS: 3DATE:
09/11/2024
TYPE OF VISIT:Case Management - Licensee InitiatedUNANNOUNCEDTIME VISIT/
INSPECTION BEGAN:
10:45 AM
MET WITH:Siara SheltonTIME VISIT/
INSPECTION COMPLETED:
12:00 PM
NARRATIVE
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
On September 11, 2024 Licensing Program Analysts Stephanie Piring met with licensee Siara Shelton for the purpose of an unannounced licensee initiated case management inspection. The purpose of today's inspection is for a capacity increase from a small licensee to a large license. Fire clearance was granted on 09/06/2024 by Sacramento Metro Fire Department. The sun room was not approved for childcare, and LPA observed the SAFE DISPERSAL AREA in the backyard as indicated on the fire clearance.

LPA observed three children during todays visit, Licensees older child was also present. All individuals subject to criminal background review have obtained a criminal record clearance. LPA verified with Licensee that her current associations are accurate.



A health and safety inspection was conducted in all areas accessible to children. Off-limits areas will include Bedrooms 2, Master Bedroom and Bathroom, Garage, and sun room. Licensee understands that if any structural changes are made to the home, licensing must be notified prior to construction. Applicant understands that if they want to make any off-limit area an on-limits area, licensing must be notified and LPA must do an inspection before children are allowed in the area.

LPA discussed CCR 102416.5 (d) which discusses the required ratios and capacity for a Large Family Child Care. Licensee understands that children under 10 years old that live in the home count towards total capacity. LPA discussed personnel records needed for adult and minor assistants. Licensee understands that when an assistant is not present, she must comply with the capacity and ratio requirements for a Small Family Child Care Home.

Effective today, September 11, 2024, the Facility is approved for a Large Family Child Care Licensed to serve 12 children (when there is an assistant present) with no more than 4 infants, or maximum capacity of 14 children when 1 child is enrolled in Transitional Kindergarten or above and 1 child at least age 6 with a maximum of 3 infants.



This facility evaluation report was reviewed and discussed with the licensee Siara Shelton. A Notice of Site Visit was provided and should remain posted for 30 days for parental review.
SUPERVISORS NAME: Natalie Dunaway
LICENSING EVALUATOR NAME: Stephanie Piring
LICENSING EVALUATOR SIGNATURE: DATE: 09/11/2024
I acknowledge receipt of this form and understand my licensing appeal rights as explained and received.
FACILITY REPRESENTATIVE SIGNATURE: DATE: 09/11/2024
This report must be available at Child Care and Group Home facilities for public review for 3 years.

LIC809 (FAS) - (06/04)
Page: 1 of 1